| NPI | 1023531621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CA 67093) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2007027808) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2019-06-06 |